An anatomical study and variation of the facial artery and vein for facial transplantation
Keywords:
facial artery, facial vein, vascular DopplerAbstract
Objective: To study the anatomy and variation of the facial artery and vein after usingvascular probe Doppler Ultrasonography for localized the location of the facial vessels.
Methods: This descriptive study in Thai brain dead patients who admitted in Udonthani hospital with their relatives willing to organ donation for the Thai Red Cross society. The study period from 1st December 2014 to 1st July 2016. Data consisted in mean, percentage and analized by Paired T-test on SPSS program.
Results: Twenty-nine brain dead patients were recruited in the study to examine by vascular probe but only fourteen patients that their relatives had permitted to do facial dissection. The data from using vascular doppler showed the mean length of the facial artery location at the mandibular point 6.95 cm., cheilion 2.56 cm., cheilion to canthus virtual line 1.55 cm. The facial vein location at the mandibular point 7.39 cm., cheilion 4.4 cm., cheilion to canthus virtual line 4.01 cm. Data from fresh cadaveric dissection showed the mean length of the facial artery location at the mandibular point 6.57 cm., cheilion 2.5 cm., cheilion to canthus virtual line 1.7 cm. The facial vein location at the mandibular point 6.95 cm., cheilion 4.51 cm., cheilion to canthus virtual line 3.77 cm.
Conclusion: The position of the facial vessels located by using vascular doppler was very similar to that identified by surgical dissection. The aberration was about 0.06-0.44 cm.
References
2. Masood J, Zubia M, et al. Postoperative Complications in a General Surgical Ward of a Teaching Hospital. Pak J Med Sci 2006 April-June;22(2):171-175.
3. Lohn JW, Penn JW, Norton J, Butler PE. The Course and Variation of the Facial Artery and Vein: Implications for Facial Transplantation and Facial Surgery. Ann Plast Surg 2011;67: 184–188
4. Houseman ND, Taylor GI, Pan WR. The angiosomes of the head and neck: anatomic study and clinical applications. Plast Reconstr Surg 2000;105:2287–2313.
5. Hettiaratchy S, Butler PE. Face transplantation–fantasy or the future? Lancet 2002;360:5– 6.
6. Morris PJ, Bradley JA, Doyal L, et al. Facial transplantation: a working party report from the Royal College of Surgeons of England. Transplantation 2004;77:330 –338.
7. Siemionow M, Papay F, Alam D, et al. Near-total human face transplantation for a severely disfgured patient in the USA. Lancet 2009;374:203–209.
8. Alam DS, Papay F, Djohan R, et al. The technical and anatomical aspects of the World’s frst near-total human face and maxilla transplant. Arch Facial Plast Surg 2009;11:369–377
9. Anthony R, Kerrie A, et al. The use of color Doppler ultrasound in the assessment of vessels for facial transplantation. Ann Plast Surg 2007 Jul;59(1):82-6.
10. Zhenmin Z, Senkai L, et al. Color Doppler flow imaging of the facial artery and vein. Plast Reconstr Surg 2000 Nov;106(6):1249-53.
11. แพทยสภา (The Medical Council of Thailand).ประกาศแพทยสภา ที่ 7/2554 เรื่อง หลักเกณฑ์และวิธีการวินิจฉัยสมองตาย. [อินเตอร์เน็ต].[เข้าถึงเมื่อ 1 กรกฎาคม 2559]. เข้าถึงได้จาก http://tmc.or.th/service_law03_2.php.
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